HEALTH PROMOTION FOR THE OLDER
ADULT EXAM QUESTIONS AND CORRECT
ANSWERS 2026 DETAILED RATIONALES
GERONTOLOGICAL NURSING STUDY
GUIDE
GRIEF INTERVENTIONS ARE REALLY THE SAME AS OTHER AGE
GROUPS
Results of Social Isolation - CORRECT ANSWER-Drug use and abuse
alcohol use
gambling addiction
depression and suicide
Strategies for Coping with Changes - CORRECT ANSWER-Maintenance of
relationships
staying active and independent
learn new skills
spiritual anchor
take control of own health and future
sexuality - CORRECT ANSWER-changes in libido are common
,sexuality myths - CORRECT ANSWER-no interest
medical illness prevents
impotence is normal
Sexuality: physical changes - CORRECT ANSWER-vaginal wall drier,
decreased length and width
prostrate increases
mobility limitations
illness of one or both partners
discuss prevention of std's
Medication concerns - CORRECT ANSWER-average 5.7 meds/day
spend $2500 per year out of pocket
confusion about when to take, self adjustment, altered metabolism,
increased risk for falls with many meds
Beer's List of Medications - CORRECT ANSWER-should NOT be used or
used with caution in the elderly
Reasons Older Adults do not complain about pain - CORRECT ANSWER-
believe it is a normal part of aging
have been raised to not complain
believe they will become addicted
,may have physiological condition so they can't complain such as dementia
or aphasia
Aging and Absorption - CORRECT ANSWER-Delayed gastric emptying,
decreased gastric acidity
Drug Distribution and Aging - CORRECT ANSWER-Higher percentage of
fat; decreased total body water; decreased plasma albumin concentration
Serum Concentration and Aging - CORRECT ANSWER-change in body
composition and changes in serum concentration of water-soluble drugs;
change in fat mass affects concentration of fat soluble medication
Drug Clearance and Aging - CORRECT ANSWER-Altered liver metabolism
decreased renal excretion of drugs decreased GFR(glomerular filtration
rate)
Strategies for Medication Management - CORRECT ANSWER-assess
ability to safely self administer at home or a caregiver who can assist
cost
start low go slow
limit OTC
teaching is important
ID bracelets
, Cheyne Stokes - CORRECT ANSWER-periods of apnea and then really
rapid breathing
don't decrease opioids but check O2 stats
how to check pain in dementia - CORRECT ANSWER-check other areas
such as rubbing body part and rocking
Opioids cause... - CORRECT ANSWER-constipation, nausea, vomiting,
decreased resp. rate, orthostatic hypotension, anorexia
Two 365 mg tylenol are equal to - CORRECT ANSWER-30 mg Codeine
DO NOT GIVE MORE THAN tylenol - CORRECT ANSWER-3,000 mg in
24 hours
Anticonvulsants(Neruontin, Lyrica) used for - CORRECT ANSWER-
neuropathic pain
Tramadol(Ultram) and Gabapentin used for - CORRECT ANSWER-pain
when intolerant to NSAID or APAP
how long duragesic patches on for? - CORRECT ANSWER-72 hours
ADULT EXAM QUESTIONS AND CORRECT
ANSWERS 2026 DETAILED RATIONALES
GERONTOLOGICAL NURSING STUDY
GUIDE
GRIEF INTERVENTIONS ARE REALLY THE SAME AS OTHER AGE
GROUPS
Results of Social Isolation - CORRECT ANSWER-Drug use and abuse
alcohol use
gambling addiction
depression and suicide
Strategies for Coping with Changes - CORRECT ANSWER-Maintenance of
relationships
staying active and independent
learn new skills
spiritual anchor
take control of own health and future
sexuality - CORRECT ANSWER-changes in libido are common
,sexuality myths - CORRECT ANSWER-no interest
medical illness prevents
impotence is normal
Sexuality: physical changes - CORRECT ANSWER-vaginal wall drier,
decreased length and width
prostrate increases
mobility limitations
illness of one or both partners
discuss prevention of std's
Medication concerns - CORRECT ANSWER-average 5.7 meds/day
spend $2500 per year out of pocket
confusion about when to take, self adjustment, altered metabolism,
increased risk for falls with many meds
Beer's List of Medications - CORRECT ANSWER-should NOT be used or
used with caution in the elderly
Reasons Older Adults do not complain about pain - CORRECT ANSWER-
believe it is a normal part of aging
have been raised to not complain
believe they will become addicted
,may have physiological condition so they can't complain such as dementia
or aphasia
Aging and Absorption - CORRECT ANSWER-Delayed gastric emptying,
decreased gastric acidity
Drug Distribution and Aging - CORRECT ANSWER-Higher percentage of
fat; decreased total body water; decreased plasma albumin concentration
Serum Concentration and Aging - CORRECT ANSWER-change in body
composition and changes in serum concentration of water-soluble drugs;
change in fat mass affects concentration of fat soluble medication
Drug Clearance and Aging - CORRECT ANSWER-Altered liver metabolism
decreased renal excretion of drugs decreased GFR(glomerular filtration
rate)
Strategies for Medication Management - CORRECT ANSWER-assess
ability to safely self administer at home or a caregiver who can assist
cost
start low go slow
limit OTC
teaching is important
ID bracelets
, Cheyne Stokes - CORRECT ANSWER-periods of apnea and then really
rapid breathing
don't decrease opioids but check O2 stats
how to check pain in dementia - CORRECT ANSWER-check other areas
such as rubbing body part and rocking
Opioids cause... - CORRECT ANSWER-constipation, nausea, vomiting,
decreased resp. rate, orthostatic hypotension, anorexia
Two 365 mg tylenol are equal to - CORRECT ANSWER-30 mg Codeine
DO NOT GIVE MORE THAN tylenol - CORRECT ANSWER-3,000 mg in
24 hours
Anticonvulsants(Neruontin, Lyrica) used for - CORRECT ANSWER-
neuropathic pain
Tramadol(Ultram) and Gabapentin used for - CORRECT ANSWER-pain
when intolerant to NSAID or APAP
how long duragesic patches on for? - CORRECT ANSWER-72 hours
